{"id":7699,"date":"2025-09-16T08:36:46","date_gmt":"2025-09-16T06:36:46","guid":{"rendered":"https:\/\/urocat.cat\/prostatitis-and-chronic-pelvic-pain\/"},"modified":"2025-12-31T13:19:53","modified_gmt":"2025-12-31T12:19:53","slug":"prostatitis-and-chronic-pelvic-pain","status":"publish","type":"page","link":"https:\/\/urocat.cat\/en\/urological-disorders-and-diseases\/prostatitis-and-chronic-pelvic-pain\/","title":{"rendered":"Prostatitis and Chronic Pelvic Pain"},"content":{"rendered":"\t\t
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Prostatitis and Chronic Pelvic Pain<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Prostatitis is an inflammation of the prostate that may be caused by a bacterial infection or by non-infectious factors.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Cuando la inflamaci\u00f3n persiste durante m\u00e1s de tres meses sin evidencia de infecci\u00f3n bacteriana, se denomina S\u00edndrome de Dolor P\u00e9lvico Cr\u00f3nico (SDPC) o Prostatitis Cr\u00f3nica. Esta condici\u00f3n es com\u00fan y afecta aproximadamente hasta a un 10% de los hombres, causando s\u00edntomas graves que impactan de manera significativa en la calidad de vida. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tSymptoms<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tDiagnosis<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tTreatment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Prostatic inflammation and pelvic pain syndrome. Courtesy of eau.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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Symptoms<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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The symptoms of CPPS can vary, but they typically include:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t
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  • Persistent pain or discomfort:<\/span> located in the pelvic region, perineum, testicles, tip of the penis, pubic area, or bladder region.<\/li>\n \t
  • Urinary difficulties: frequent need to urinate, urinary urgency, weak or interrupted urine flow.<\/li>\n \t
  • Pain during or after ejaculation:<\/span> post-ejaculatory discomfort is a characteristic symptom.<\/li>\n \t
  • Systemic symptoms:<\/span> unexplained fatigue, muscle or joint pain.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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    These symptoms may fluctuate in intensity and can significantly affect daily activities and emotional well-being.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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    Diagnosis<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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    The diagnosis of CPPS is primarily one of exclusion, meaning that other possible causes must be ruled out. Evaluations may include:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t
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      \n \t
    • Detailed medical history:<\/span> duration and location of pain, urinary and sexual symptoms, and potential triggers.<\/li>\n \t
    • Physical examination:<\/span> assessment of the pelvic and perineal region, including a digital rectal exam to evaluate the prostate.<\/li>\n \t
    • Urinalysis and cultures:<\/span> to rule out urinary tract infections or bacterial prostatitis.<\/li>\n \t
    • Imaging tests:<\/span> such as ultrasounds or magnetic resonance imaging, to study pelvic anatomy and rule out other pathologies.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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      It is essential to rule out other conditions that may cause similar symptoms, such as bacterial infections, benign prostatic hyperplasia or prostate cancer.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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      Treatment<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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      The management of CPPS is diverse and individualized, given the complexity of symptoms and their impact on quality of life. Therapeutic options include:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t
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      • Education and psychological support:<\/span> providing information about the nature of the condition and offering emotional support.<\/li>\n
      • Physiotherapy:<\/span> stretching exercises, relaxation techniques, and reduction of pelvic muscle tension; in some cases, prostatic massage and regional nerve stimulation.<\/li>\n
      • Medications, which may include:<\/span>\n
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        • Alpha-blockers:<\/span> to relax prostatic muscles and improve urinary flow.<\/li>\n
        • Anti-inflammatory drugs:<\/span> to reduce pain and inflammation.<\/li>\n
        • Antibiotics:<\/span> use is controversial but considered in selected cases.<\/li>\n
        • Phytotherapy:<\/span> plant-based extracts that may be useful in some cases.<\/li>\n
        • Complementary therapies:<\/span> such as acupuncture or extracorporeal shockwave therapy, which have shown positive results in some studies.<\/li>\n
        • Integrative urology:<\/span> beneficial in cases resistant to conventional treatments.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t
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          A multimodal approach, combining different therapies, often provides the best outcomes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

          Prostatitis and Chronic Pelvic Pain Prostatitis is an inflammation of the prostate that may be caused by a bacterial infection or by non-infectious factors. Cuando la inflamaci\u00f3n persiste durante m\u00e1s de tres meses sin evidencia de infecci\u00f3n bacteriana, se denomina S\u00edndrome de Dolor P\u00e9lvico Cr\u00f3nico (SDPC) o Prostatitis Cr\u00f3nica. Esta condici\u00f3n es com\u00fan y afecta […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":8013,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"class_list":["post-7699","page","type-page","status-publish","hentry"],"acf":{"page_header_title":"","page_header_alignment":"left: Izquierda","page_header_show_breadcrumbs":true,"page_header_breadcrumbs_position":"breadcrumbs-bottom"},"yoast_head":"\nProstatitis and chronic pelvic pain \u2013 Causes and treatments<\/title>\n<meta name=\"description\" content=\"Chronic prostatitis causes pelvic pain; at UROCAT we treat it with comprehensive therapies. 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